CA2467800C - Appareil et procede, a invasion minimale, pour remplacement total d'articulation - Google Patents

Appareil et procede, a invasion minimale, pour remplacement total d'articulation Download PDF

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Publication number
CA2467800C
CA2467800C CA002467800A CA2467800A CA2467800C CA 2467800 C CA2467800 C CA 2467800C CA 002467800 A CA002467800 A CA 002467800A CA 2467800 A CA2467800 A CA 2467800A CA 2467800 C CA2467800 C CA 2467800C
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Canada
Prior art keywords
bone
sculpting
sculpting tool
impaction
femur
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Expired - Fee Related
Application number
CA002467800A
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English (en)
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CA2467800A1 (fr
Inventor
Wesley D. Johnson
Gerard Engh
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Alexandria Research Technologies Inc
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Alexandria Research Technologies Inc
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Publication date
Priority claimed from US10/075,829 external-priority patent/US6723102B2/en
Application filed by Alexandria Research Technologies Inc filed Critical Alexandria Research Technologies Inc
Publication of CA2467800A1 publication Critical patent/CA2467800A1/fr
Application granted granted Critical
Publication of CA2467800C publication Critical patent/CA2467800C/fr
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    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2/46—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
    • A61F2002/4631—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor the prosthesis being specially adapted for being cemented
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2/46—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
    • A61F2002/4635—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor using minimally invasive surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2/46—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
    • A61F2002/4681—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor by applying mechanical shocks, e.g. by hammering
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2/46—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
    • A61F2002/4688—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor having operating or control means
    • A61F2002/4692—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor having operating or control means fluid
    • A61F2002/4693—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor having operating or control means fluid hydraulic
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2/46—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
    • A61F2002/4688—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor having operating or control means
    • A61F2002/4692—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor having operating or control means fluid
    • A61F2002/4694—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor having operating or control means fluid pneumatic
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2210/00—Particular material properties of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2210/0014—Particular material properties of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof using shape memory or superelastic materials, e.g. nitinol
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2310/00—Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
    • A61F2310/00005—The prosthesis being constructed from a particular material
    • A61F2310/00011—Metals or alloys
    • A61F2310/00017—Iron- or Fe-based alloys, e.g. stainless steel
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2310/00—Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
    • A61F2310/00005—The prosthesis being constructed from a particular material
    • A61F2310/00011—Metals or alloys
    • A61F2310/00023—Titanium or titanium-based alloys, e.g. Ti-Ni alloys
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2310/00—Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
    • A61F2310/00005—The prosthesis being constructed from a particular material
    • A61F2310/00011—Metals or alloys
    • A61F2310/00029—Cobalt-based alloys, e.g. Co-Cr alloys or Vitallium
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2310/00—Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
    • A61F2310/00389—The prosthesis being coated or covered with a particular material
    • A61F2310/00952—Coating, pre-coating or prosthesis-covering structure made of bone cement, e.g. pre-applied PMMA cement mantle

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • Public Health (AREA)
  • Surgery (AREA)
  • Veterinary Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • General Health & Medical Sciences (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Transplantation (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Molecular Biology (AREA)
  • Medical Informatics (AREA)
  • Cardiology (AREA)
  • Vascular Medicine (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Dentistry (AREA)
  • Prostheses (AREA)
  • Surgical Instruments (AREA)
  • Constituent Portions Of Griding Lathes, Driving, Sensing And Control (AREA)
  • Polishing Bodies And Polishing Tools (AREA)
  • Processing Of Terminals (AREA)
  • Stringed Musical Instruments (AREA)

Abstract

L'invention concerne un procédé et un appareil destinés à remplacer totalement une articulation de façon la moins invasive possible. Le procédé consiste à sculpter la surface d'articulation d'un second os, qui s'articule normalement avec un premier os, par fixation d'un outil de sculpture d'os (22), directement ou indirectement au premier os au moyen de l'outil (22), en position de sculpter la surface d'articulation du second os, puis à sculpter cette surface avec l'articulation réduite, et à déplacer un os par rapport à l'autre. L'invention concerne aussi un implant (60) positionné afin de remplacer la surface d'articulation du second os au moyen d'un dispositif fonctionnant par impacts (102) fixé directement, ou indirectement, au premier os dans lequel la force de positionnement de l'implant (60) provient de la réaction entre les second et premier os.
CA002467800A 2002-02-12 2003-02-10 Appareil et procede, a invasion minimale, pour remplacement total d'articulation Expired - Fee Related CA2467800C (fr)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US10/075,829 2002-02-12
US10/075,829 US6723102B2 (en) 2001-06-14 2002-02-12 Apparatus and method for minimally invasive total joint replacement
PCT/US2003/003928 WO2003068078A1 (fr) 2002-02-12 2003-02-10 Appareil et procede, a invasion minimale, pour remplacement total d'articulation

Publications (2)

Publication Number Publication Date
CA2467800A1 CA2467800A1 (fr) 2003-08-21
CA2467800C true CA2467800C (fr) 2009-04-21

Family

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Application Number Title Priority Date Filing Date
CA002467800A Expired - Fee Related CA2467800C (fr) 2002-02-12 2003-02-10 Appareil et procede, a invasion minimale, pour remplacement total d'articulation

Country Status (9)

Country Link
EP (1) EP1474047B1 (fr)
JP (1) JP2005518831A (fr)
AT (1) ATE487428T1 (fr)
AU (1) AU2003212988A1 (fr)
CA (1) CA2467800C (fr)
DE (1) DE60334889D1 (fr)
IL (1) IL161571A0 (fr)
MX (1) MXPA04004506A (fr)
WO (1) WO2003068078A1 (fr)

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US7559928B2 (en) * 2002-02-12 2009-07-14 Alexandria Research Technologies, Llc Apparatus and method for minimally invasive total joint replacement
US7896881B2 (en) 2004-03-30 2011-03-01 Depuy Products, Inc. Acetabular instrument and associated method
GB0420346D0 (en) * 2004-09-13 2004-10-13 Finsbury Dev Ltd Tool
US8128631B2 (en) 2005-07-28 2012-03-06 Alexandria Research Technologies, Inc. Apparatus and method for placing an implant in vivo
EP1996108A4 (fr) 2006-03-23 2017-06-21 Orthosoft, Inc. Procédé et système de repérage d'outils dans la chirurgie assistée par ordinateur
GB0725263D0 (en) 2007-12-27 2008-02-06 Depuy Int Ltd Instrument for removing tissue
CN106974695A (zh) * 2008-09-18 2017-07-25 史密夫和内修有限公司 用于解决股骨髋臼撞击的装置和方法
US9610084B2 (en) 2012-09-12 2017-04-04 Peter Michael Sutherland Walker Method and apparatus for hip replacements
US10070873B2 (en) 2014-06-30 2018-09-11 Tornier, Inc. Device for maintaining alignment of a cannulated shaft over a guide pin
CN105167887B (zh) * 2015-10-14 2017-02-01 兰州西脉记忆合金股份有限公司 一种记忆合金环抱式人工髋关节假体及其植入方法

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US4457307A (en) * 1982-08-20 1984-07-03 Stillwell William T Bone cutting device for total knee replacement
US4574794A (en) * 1984-06-01 1986-03-11 Queen's University At Kingston Orthopaedic bone cutting jig and alignment device
ATE85202T1 (de) * 1987-10-21 1993-02-15 Smith & Nephew Richards Inc Chirurgisches instrument.
FR2645433B1 (fr) * 1989-04-05 1991-06-21 High Tech Ind Cupule destinee a etre fixee sans ciment pour prothese totale de la hanche
US5263987A (en) * 1989-08-25 1993-11-23 Shah Mrugesh K Method and apparatus for arthroscopically replacing a bone joint
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US5474560A (en) * 1994-09-26 1995-12-12 Zimmer, Inc. Prosthetic acetabular cup inserter
DE29609632U1 (de) * 1996-05-30 1996-11-07 Fennen, Dietmar, 21640 Horneburg Automatisches Pfannenpreßinstrument
FR2749753B1 (fr) * 1996-06-14 1998-12-24 Mosseri Raphael Prothese totale de hanche destinee a etre posee par voie endo-articulaire et son dispositif ancillaire
US5735855A (en) * 1996-10-25 1998-04-07 Bradley; Gary W. Automatic impact device
FR2755603B1 (fr) * 1996-11-12 1999-02-26 Jacques Preaut Ensemble d'ancillaires pour la pose de cotyles de protheses de hanche, et ensemble prothetique de cotyle pret a etre pose
US6059831A (en) * 1999-03-31 2000-05-09 Biomet, Inc. Method of implanting a uni-condylar knee prosthesis
US6482209B1 (en) * 2001-06-14 2002-11-19 Gerard A. Engh Apparatus and method for sculpting the surface of a joint
US6723102B2 (en) * 2001-06-14 2004-04-20 Alexandria Research Technologies, Llc Apparatus and method for minimally invasive total joint replacement

Also Published As

Publication number Publication date
AU2003212988A1 (en) 2003-09-04
ATE487428T1 (de) 2010-11-15
WO2003068078A1 (fr) 2003-08-21
EP1474047A4 (fr) 2006-12-06
MXPA04004506A (es) 2004-11-29
IL161571A0 (en) 2004-09-27
DE60334889D1 (de) 2010-12-23
EP1474047A1 (fr) 2004-11-10
EP1474047B1 (fr) 2010-11-10
JP2005518831A (ja) 2005-06-30
CA2467800A1 (fr) 2003-08-21

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